MOSES CONE PHYSICIAN SERVICES, INC. (NPI# 1164949814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164949814 |
| Entity Type | Organization |
| Organization Name | MOSES CONE PHYSICIAN SERVICES, INC. |
| Other Organization Name | CHMG PEDIATRIC SPECIALISTS |
| Practice Address |
301 E Wendover Ave Ste 311 Greensboro NC 27401-1210 |
| Mailing Address |
1200 N Elm St Greensboro NC 27401-1004 |
| Practice Telephone | 3362726161 |
| Practice Fax Number | 3362302150 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | SALLY P HAMMOND (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3366635007 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MOSES H. CONE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHMG Pediatric Specialists | Doing Business As Name - Organization |
| Cone Health Pediatric Sub Specialists | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1103 N Elm St Ste 300, Greensboro, NC 274016312 | 3362713331 | 3362713724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821653205 | Moses Cone Physician Services, Inc. | Plastic Surgery | 1002 N Church St Ste 100, Greensboro, NC 27401-1447 | 2019-05-01 |
| 1164980546 | Moses Cone Physician Services, Inc. | Surgery | 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215-8068 | 2019-03-05 |
| 1174016711 | Moses Cone Physician Services, Inc. | Obstetrics & Gynecology | 520 Maple Ave Ste C, Reidsville, NC 27320-4600 | 2018-06-08 |
| 1417467275 | Moses Cone Physician Services, Inc. | Family Medicine | 2525c Phillips Ave, Greensboro, NC 27405-5357 | 2017-10-06 |
| 1124574827 | Moses Cone Physician Services, Inc. | Family Medicine | 4446 Us Highway 220 North, Suite A, Summerfield, NC 27358 | 2016-09-01 |
| 1104458454 | Moses Cone Physician Services, Inc. | Internal Medicine | 1313 Carolina St Ste 101, Greensboro, NC 27401-6002 | 2020-02-05 |
| 1427680768 | Moses Cone Physician Services, Inc. | Physical Medicine & Rehabilitation | 300 W Northwood St, Greensboro, NC 27401-1324 | 2020-02-05 |
| 1265072359 | Moses Cone Physician Services, Inc. | Ophthalmology | 1016 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2020-01-07 |
| 1043703804 | Moses Cone Physician Services, Inc. | Family Medicine | 1107 S Main St, Reidsville, NC 27320-5313 | 2018-06-07 |
| 1316455223 | Moses Cone Physician Services, Inc. | Internal Medicine | 1248 Huffman Mill Rd Ste 201, Burlington, NC 27215-8700 | 2018-01-12 |
| Street Address |
301 E WENDOVER AVE STE 311 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811455363 | Katherine Rouse Mikelaites | Dietitian, Registered | 301 E Wendover Ave Ste 311, Greensboro, NC 27401-1210 | 2019-03-04 |
| 1962912774 | Mayah Michelle Dozier-lineberger | Nurse Practitioner | 301 E Wendover Ave Ste 311, Greensboro, NC 27401-1210 | 2017-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659529808 | Jennifer Rebecca Badik | Pediatrics | 301 E Wendover Ave, Suite #311, Greensboro, NC 27401-1230 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073179867 | Novant Medical Group, Inc. | Pediatrics | 311 Coddle Market Dr Nw Ste 200, Concord, NC 28027-2432 | 2019-05-16 |
| 1124202114 | Jennifer Rachel Law | Pediatrics | 3341 Mbrb Cb 7039, University of North Carolina, Chapel Hill, NC 27599-0001 | 2007-12-26 |
| 1245443126 | Nina Jain | Pediatrics | Unc, Cb # 7039, 3341 Biomolecular (mbrb), Chapel Hill, NC 27599-0001 | 2007-05-08 |
| 1376696062 | Cmc-northeast, Inc | Pediatrics | 16623 Birkdale Cmns Pkwy, Suite 110, Ne Pediatric Endo, Huntersville, NC 28078-5621 | 2007-01-18 |
| 1801825914 | Lisa Houchin | Pediatrics | 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 | 2006-07-01 |
| 1437141611 | Maria Janae Henwood-finley | Pediatrics | 2150 Herbert Ct, Ecu Pediatric Specialty Clinic, Greenville, NC 27834-3736 | 2005-08-16 |
| 1265097695 | Wakemed Specialists Group, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2019-05-01 |
| 1386164051 | Novant Medical Group, Inc | Pediatrics | 201 Queens Rd, Charlotte, NC 28204-3217 | 2017-06-23 |
| 1518378553 | Wake Specialty Physicians, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2014-05-13 |
| 1902233380 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 9625 Northcross Center Ct, Ste 102c, Huntersville, NC 28078-7348 | 2013-10-01 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.